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Subjective beliefs, health, and health behaviors 主观信念、健康和健康行为
IF 4.7 2区 经济学 Q3 BUSINESS, FINANCE Pub Date : 2024-09-04 DOI: 10.1007/s11166-024-09435-5
Frank A. Sloan

This article reviews economic studies based on data from high income countries published from 2007 to early 2024 to address three questions: (1) How accurate are subjective beliefs, mainly measured by subjective probabilities, compared to their objective counterparts? Objective evidence comes from another source (e.g., life table, empirical study, expert opinion), or subsequent realizations of beliefs elicited at baseline. (2) How are subjective beliefs determined? (3) Do subjective beliefs affect health behaviors? Several domains are included: survival, and health behaviors—smoking, alcohol consumption and impaired driving, preventive care, diet, and COVID-19 precautions. Results on a single domain, (e.g., survival), do not generalize to, e.g., COVID-19 results. Subjective probabilities embody private information (e.g., self-assessed health, parent longevity). However, individuals seem insufficiently informed about population-level probabilities. There is no systematic overestimation or underestimation of objective probabilities. Several determinants of beliefs are identified (demographic characteristics, education, cognition, current self-assessed health, health histories), but evidence on underlying mechanisms is lacking, how determinants, (e.g., education), affect beliefs. Subjective beliefs, even with substantial noise, often affect health behaviors. Given prior evidence that beliefs are influenced by health shocks, this article reviews research on effects of health shocks on health behaviors. A major health shock to an individual—a new diagnosis (e.g., diabetes) or a serious adverse health event (e.g., heart attack), by changing subjective probabilities leads to some healthier behaviors, however, sometimes only temporarily. Behaviors may also be influenced by utility loss following a health shock, e.g., learning about pecuniary and non-pecuniary costs of hospitalization.

本文回顾了 2007 年至 2024 年初发表的基于高收入国家数据的经济研究,以解决三个问题:(1) 与客观证据相比,主要以主观概率衡量的主观信念的准确性如何?客观证据来自其他来源(如生命表、实证研究、专家意见),或基线信念的后续实现。(2) 主观信念是如何确定的?(3) 主观信念会影响健康行为吗?包括几个领域:生存和健康行为--吸烟、饮酒和违规驾驶、预防保健、饮食和 COVID-19 预防措施。单一领域(如生存)的结果不能推广到 COVID-19 等结果。主观概率体现了私人信息(如自我健康评估、父母寿命)。然而,个人似乎并不充分了解群体层面的概率。客观概率没有系统性的高估或低估。确定了信念的几个决定因素(人口特征、教育、认知、当前自我评估的健康状况、健康史),但缺乏有关其潜在机制的证据,也不知道决定因素(如教育)是如何影响信念的。主观信念即使有很大的噪音,也往往会影响健康行为。鉴于已有证据表明信念会受到健康冲击的影响,本文回顾了有关健康冲击对健康行为影响的研究。对个人健康的重大冲击--新的诊断(如糖尿病)或严重的不良健康事件(如心脏病发作)--通过改变主观概率会导致一些更健康的行为,但有时只是暂时的。行为也可能受到健康冲击后效用损失的影响,例如,了解住院的金钱和非金钱成本。
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引用次数: 0
Randomization advice and ambiguity aversion 随机化建议和模糊厌恶
IF 4.7 2区 经济学 Q3 BUSINESS, FINANCE Pub Date : 2024-08-31 DOI: 10.1007/s11166-024-09436-4
Christoph Kuzmics, Brian W. Rogers, Xiannong Zhang

We design and implement lab experiments to evaluate the normative appeal of behavior arising from models of ambiguity-averse preferences. We report two main empirical findings. First, we demonstrate that behavior reflects an incomplete understanding of the problem, providing evidence that subjects do not act on the basis of preferences alone. Second, additional clarification of the decision making environment pushes subjects’ choices in the direction of ambiguity aversion models, regardless of whether or not the choices are also consistent with subjective expected utility, supporting the position that subjects find such behavior normatively appealing.

我们设计并实施了实验室实验,以评估模糊厌恶偏好模型所产生的行为的规范性吸引力。我们报告了两个主要的经验发现。首先,我们证明了行为反映了对问题的不完全理解,提供了被试并非仅根据偏好行事的证据。其次,对决策环境的额外澄清会促使受试者的选择朝着模糊厌恶模型的方向发展,而不管这些选择是否也符合主观预期效用,这支持了受试者认为这种行为具有规范吸引力的观点。
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引用次数: 0
The gambler’s fallacy prevails in lottery play 赌徒谬论在彩票游戏中盛行
IF 4.7 2区 经济学 Q3 BUSINESS, FINANCE Pub Date : 2024-08-07 DOI: 10.1007/s11166-024-09434-6
Brian Dillon, Travis J. Lybbert

We use natural experiments in Haiti and Denmark to test recent theoretical predictions about how agents react to random events. Using player-level administrative data, we find that the average lottery player avoids numbers that recently won (the gambler’s fallacy). A small subset of players in each country exhibit the hot hand fallacy, and bet recent winners. We find no evidence of ‘streak switching,’ in which beliefs switch from the gambler’s fallacy to the hot hand fallacy as winning streaks grow. Follow-up survey data in Haiti indicate that almost all lottery players believe that some numbers are more likely to win than others, and that recent winning history is an important factor in subjective beliefs about numbers’ win probabilities.

我们利用在海地和丹麦进行的自然实验来检验最近关于代理人如何对随机事件做出反应的理论预测。通过使用彩民管理数据,我们发现普通彩民会避开最近中奖的号码(赌徒谬误)。每个国家都有一小部分彩民表现出热手谬误,投注最近中奖的号码。我们没有发现 "连胜转换 "的证据,即随着连胜次数的增加,人们的信念会从赌徒谬误转换到热门谬误。海地的后续调查数据表明,几乎所有彩民都认为某些号码比其他号码更有可能中奖,而近期的中奖历史是影响彩民对号码中奖概率的主观看法的一个重要因素。
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引用次数: 0
Are economic preferences shaped by the family context? The relation of birth order and siblings’ gender composition to economic preferences 经济偏好是由家庭环境决定的吗?出生顺序和兄弟姐妹的性别构成与经济偏好的关系
IF 4.7 2区 经济学 Q3 BUSINESS, FINANCE Pub Date : 2024-08-02 DOI: 10.1007/s11166-024-09433-7
Lena Detlefsen, Andreas Friedl, Katharina Lima de Miranda, Ulrich Schmidt, Matthias Sutter

The formation of economic preferences in childhood and adolescence has long-term consequences for life outcomes. We study in an experiment how both birth order and siblings’ gender composition are related to risk, time, and social preferences. We find that second-born children are typically less patient, more risk-tolerant, and more trusting. However, siblings’ gender composition interacts importantly with birth order effects. Second-born children are more risk-taking only with same-gender siblings. In mixed-gender environments, children seem to identify with the gender stereotype that boys are much more willing to take risks than girls, irrespective of birth order. For trust and trustworthiness, birth order effects are larger with mixed-gender siblings. Only for patience, siblings’ gender composition does not matter.

童年和青少年时期经济偏好的形成会对人生结果产生长期影响。我们通过实验研究了出生顺序和兄弟姐妹的性别构成与风险、时间和社会偏好的关系。我们发现,第二个出生的孩子通常耐心更差、风险承受能力更强、更容易相信他人。然而,兄弟姐妹的性别构成与出生顺序的影响有着重要的交互作用。只有与同性别的兄弟姐妹在一起时,次生儿童才会更敢于冒险。在男女混杂的环境中,无论出生顺序如何,儿童似乎都认同男孩比女孩更愿意冒险的性别刻板印象。在信任和守信方面,出生顺序的影响在同性兄弟姐妹中更大。只有在耐心方面,兄弟姐妹的性别组成并不重要。
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引用次数: 0
Reference-dependent discounting 参照贴现
IF 4.7 2区 经济学 Q3 BUSINESS, FINANCE Pub Date : 2024-07-31 DOI: 10.1007/s11166-024-09432-8
Arthur E. Attema, Zhihua Li

Reference-dependence has become a widely established phenomenon in decision making under risk, not only for monetary outcomes but also for other outcomes, e.g., related to health. However, when the prospects involve risk about timing (the time of receipt of outcomes), rather than the outcomes themselves, much less is known about reference-dependence. This study extends discounted utility to incorporate reference-dependence and is the first to test it in timing prospects. We are also the first to estimate the probability weighting function for timing prospects. For both timing and outcome risk tasks, we replicate the typical fourfold pattern of risk attitudes: risk seeking for low-probability gains, risk aversion for high-probability gains, risk aversion for low-probability losses and risk seeking for high-probability losses. In other words, we find substantial pessimism with regard to high probabilities in the gain domain and low probabilities in the loss domain, and probabilistic optimism for low probabilities in the gain domain and high probabilities in the loss domain. Furthermore, we report loss aversion for outcome risks, while for timing risks, we find the opposite result, which we term earliness seeking. In sum, we find substantial empirical support for reference-dependent discounting. Our results show that psychological biases are also important when timing is risky, although the direction of bias may differ.

在风险决策中,参照依赖已成为一个广泛确立的现象,这不仅适用于货币结果,也适用于其他结果,如与健康有关的结果。然而,当前景涉及时间风险(收到结果的时间)而非结果本身时,人们对参照依赖性的了解就少得多。本研究扩展了贴现效用,将参照依赖性纳入其中,并首次在时间前景中对其进行检验。我们还首次估算了时机前景的概率加权函数。对于时机风险和结果风险任务,我们复制了典型的四重风险态度模式:对低概率收益的风险追求、对高概率收益的风险厌恶、对低概率损失的风险厌恶和对高概率损失的风险追求。换句话说,我们发现,对于高概率的收益和低概率的损失,人们的态度是悲观的,而对于低概率的收益和高概率的损失,人们的态度则是乐观的。此外,对于结果风险,我们报告了损失规避,而对于时间风险,我们发现了相反的结果,即我们所说的 "尽早性寻求"。总之,我们发现大量的经验支持参考依赖贴现。我们的研究结果表明,当时机有风险时,心理偏差也很重要,尽管偏差的方向可能有所不同。
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引用次数: 0
General review on pregnancy in inflammatory bowel disease. 妊娠合并炎症性肠病的总体回顾。
IF 2.7 2区 经济学 Q3 BUSINESS, FINANCE Pub Date : 2024-07-01 DOI: 10.17235/reed.2022.8672/2022
Elena Santos Pérez, Marta Calvo Moya

Given the age of maximum incidence of inflammatory bowel disease, aspects such as fertility and pregnancy are especially relevant in the management of these patients. This review article aims to provide a summarized description of the basic concepts that the gastroenterologist should know when assessing an IBD patient with procreative desires and/or who is pregnant. The review has been carried out selecting the most recent and relevant articles on these topics in order to offer updated information on the latest treatments available.

鉴于炎症性肠病的高发年龄,生育和妊娠等问题与这些患者的治疗尤为相关。这篇综述文章旨在概述消化内科医生在评估有生育要求和/或怀孕的 IBD 患者时应了解的基本概念。该综述选择了与这些主题相关的最新文章,以便提供有关现有最新治疗方法的最新信息。
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引用次数: 0
Conditional independence in a binary choice experiment 二元选择实验中的条件独立性
IF 4.7 2区 经济学 Q3 BUSINESS, FINANCE Pub Date : 2024-06-25 DOI: 10.1007/s11166-024-09431-9
Nathaniel T. Wilcox

Experimental and behavioral economists, as well as psychologists, commonly assume conditional independence of choices when constructing likelihood functions for structural estimation of choice functions. I test this assumption using data from a new experiment designed for this purpose. Within the limits of the experiment’s identifying restriction and designed power to detect deviations from conditional independence, conditional independence is not rejected. In naturally occurring data, concerns about violations of conditional independence are certainly proper and well-taken (for well-known reasons). However, when an experimenter employs the particular experimental mechanisms and designs used here, the findings suggest that conditional independence is an acceptable assumption for analyzing data so generated.

实验经济学家、行为经济学家以及心理学家在构建用于对选择函数进行结构性估计的似然函数时,通常会假设选择的条件独立性。我利用为此目的而设计的一项新实验的数据对这一假设进行了检验。在实验的识别限制和检测条件独立性偏差的设计能力范围内,条件独立性并没有被否定。在自然发生的数据中,对违反条件独立性的担忧当然是正确的,也是有道理的(原因众所周知)。然而,当实验者采用这里所使用的特定实验机制和设计时,研究结果表明,在分析这样产生的数据时,条件独立性是一个可以接受的假设。
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引用次数: 0
Consciously stochastic in preference reversals 偏好逆转中有意识的随机性
IF 4.7 2区 经济学 Q3 BUSINESS, FINANCE Pub Date : 2024-05-31 DOI: 10.1007/s11166-024-09430-w
Liu Shi, Jianying Qiu, Jiangyan Li, Frank Bohn

Stochastic choice, the act of choosing differently in repeated decisions, can be a conscious decision made by individuals who are aware of their inability to make a definitive choice. To examine the prevalence and implications of conscious stochastic choice, we developed a novel method and implemented it in a preference reversal experiment: In each valuation choice between the bet and a varying reference option, subjects could either pay a small cost to select a specific option or opt for a free randomization choice where a computer randomly selects an option. Our findings revealed that the majority of subjects exhibited conscious stochastic choice, and further that their choices were significantly affected by the elicitation procedures.

随机选择,即在重复决策中做出不同选择的行为,可以是意识到自己无法做出明确选择的个体有意识做出的决定。为了研究有意识随机选择的普遍性及其影响,我们开发了一种新方法,并在偏好逆转实验中加以实施:在赌注和不同参考选项之间的每次估值选择中,受试者既可以支付少量费用来选择特定选项,也可以选择由计算机随机选择选项的免费随机化选择。我们的研究结果表明,大多数受试者都表现出有意识的随机选择,而且他们的选择受到诱导程序的显著影响。
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引用次数: 0
Revealing risky mistakes through revisions 通过修订揭示风险错误
IF 4.7 2区 经济学 Q3 BUSINESS, FINANCE Pub Date : 2024-05-14 DOI: 10.1007/s11166-024-09429-3
Zachary Breig, Paul Feldman

We argue that a choice that is modified, absent any informational change, is revealed to have been a mistake. In an experiment, we allow subjects to choose from budgets over binary lotteries. To identify mistakes, which we interpret as deviations from an underlying “true” preference, we allow subjects to revise a subset of their initial choices. The set of revised decisions improves under several standard definitions of optimality. These mistakes are prevalent: subjects modify over 75% of their initial choices when given the chance. Subjects make larger mistakes when inexperienced and when choosing over lotteries with small probabilities of winning.

我们认为,在没有任何信息变化的情况下,被修改的选择会被认为是一个错误。在一项实验中,我们让受试者从二元彩票的预算中进行选择。为了识别错误(我们将其解释为偏离了潜在的 "真实 "偏好),我们允许受试者修改其初始选择的子集。修正后的决策集在几种标准的最优定义下会有所改进。这些错误非常普遍:只要有机会,受试者就会修改 75% 以上的初始选择。在缺乏经验和选择中奖概率较小的彩票时,受试者会犯更大的错误。
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引用次数: 0
Does the COVID-19 pandemic change individuals’ risk preference? COVID-19 大流行是否会改变个人的风险偏好?
IF 4.7 2区 经济学 Q3 BUSINESS, FINANCE Pub Date : 2024-03-27 DOI: 10.1007/s11166-024-09427-5
Tomohide Mineyama, Kiichi Tokuoka

In this study we exploit not only regional but also age and gender variation in exposure to COVID-19 to investigate its impact on risk tolerance. This study is the first to use age and gender variation in exposure to COVID-19, whereas the identification in previous studies relied on regional variation or simple differencing before and after the pandemic. Using a nationally representative household panel survey in Japan, we find that individuals who were exposed to higher risk of COVID-19, measured by the mortality rate, became more risk-tolerant. The result is in line with findings whereby the experience of standout adverse events and the large resulting losses increase individuals’ risk tolerance. However, the effect appears diminished after the vaccine rollout. An analysis using detailed vaccine records indicates that the vaccination offset the increase in risk tolerance due to the mortality risk, especially for individuals with a higher mortality rate for COVID-19. While the literature on this topic has been inconclusive with a few studies reporting insignificant changes in risk tolerance after the pandemic, our result suggests that granular information on exposure to COVID-19 helps identify its impact.

在本研究中,我们不仅利用了接触 COVID-19 的地区差异,还利用了年龄和性别差异来调查其对风险承受能力的影响。本研究首次使用了接触 COVID-19 的年龄和性别差异,而之前的研究则依赖于大流行前后的地区差异或简单差分。通过在日本进行的一项具有全国代表性的家庭面板调查,我们发现那些暴露于 COVID-19 较高风险(以死亡率衡量)的人变得更能承受风险。这一结果与研究结果一致,即经历突出的不利事件和由此造成的巨大损失会提高个人的风险承受能力。然而,这种影响在疫苗推广后似乎有所减弱。利用详细的疫苗记录进行的分析表明,疫苗接种抵消了因死亡风险而增加的风险承受能力,尤其是对 COVID-19 死亡率较高的人而言。虽然有关这一主题的文献尚无定论,一些研究报告称大流行后风险承受能力的变化并不显著,但我们的结果表明,有关 COVID-19 暴露的详细信息有助于确定其影响。
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引用次数: 0
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Journal of Risk and Uncertainty
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